{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:27:42Z","timestamp":1791289662611,"version":"4.3.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Aging is an inevitable process of life development. These physical changes can cause a decline in the functional adaptability and health status of older adult individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The purpose of this study was to investigate the association of lower-limb muscle strength performance with static and dynamic balance control among older adults in Taiwan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross-sectional study and reviewed data derived from the National Physical Fitness Survey in Taiwan 2015\u20132016. A total of 20,846 Taiwanese older adult individuals aged 65\u2009years old or older were recruited as study participants. Demographic characteristics, anthropometric assessments, lifestyle habits, and health-related physical fitness measurements from this dataset were analyzed using the chi-square test, one-way analysis of variance, and linear regression analysis. Lower-limb muscle strength performance was classified into 4 groups based on quartile (Quartile 1 [Q1], Quartile 2 [Q2], Quartile 3 [Q3], and Quartile 4 [Q4]) values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Increased lower-limb muscle strength levels were significantly associated with static balance in men (Q2: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20092.539, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q3: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20094.590, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q4: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20097.700, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) and women (Q2: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20092.022, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q3: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20094.179, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q4: <jats:italic>\u03b2<\/jats:italic>\u2009=\u20096.920, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) after adjusting for potential confounders. In addition, we observed that increased lower-limb muscle strength levels were significantly associated with dynamic balance in men (Q2: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.661, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q3: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22122.434, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q4: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22123.091, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) and women (Q2: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.660, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q3: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22122.548, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001; Q4: <jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22123.196, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) after adjusting for potential confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lower-limb muscle strength was the most important factor, as it was an improved method for static and dynamic balance control in both genders.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1226239","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T04:27:31Z","timestamp":1707798451000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":19,"title":["Associations of lower-limb muscle strength performance with static and dynamic balance control among older adults in Taiwan"],"prefix":"10.3389","volume":"12","author":[{"given":"Ping-Chun","family":"Yeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"De-Kai","family":"Syu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Chang","family":"Ho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian-Shyug","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"ref1","year":""},{"key":"ref2","doi-asserted-by":"publisher","first-page":"87","DOI":"10.13066\/kspm.2015.10.3.87","article-title":"Comparisons of lower extremity strength, cognition, and ankle mobility according to the 8.5 seconds cut-off point for the 8-foot up-and-go test in elderly women","volume":"10","author":"Kang","year":"2015","journal-title":"J Aging Phys Act"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1093\/gerona\/glr010","article-title":"Dynapenia and aging: an update","volume":"67","author":"Manini","year":"2011","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1093\/geront\/37.4.433","article-title":"Successful aging","volume":"37","author":"Rowe","year":"1997","journal-title":"Gerontologist"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.jamda.2009.01.003","article-title":"Validation of a novel successful aging construct","volume":"10","author":"Young","year":"2009","journal-title":"J Am Med Dir Assoc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"35","DOI":"10.2478\/v10078-010-0029-y","article-title":"Muscle strength and aerobic endurance as factors differentiating falling and non-falling men over 70 years","volume":"25","author":"Maciaszek","year":"2010","journal-title":"J Hum Kinet"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1067\/mhc.2000.109232","article-title":"Reducing falls and resulting hip fractures among older women","volume":"5","author":"Stevens","year":"2000","journal-title":"Home Care Provid"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1088","DOI":"10.1016\/s0895-4356(02)00502-4","article-title":"A risk model for the prediction of recurrent falls in community-dwelling elderly: A prospective cohort study","volume":"55","author":"Stalenhoef","year":"2002","journal-title":"J Clin Epidemiol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.maturitas.2013.02.009","article-title":"Risk factors for falls among older adults: a review of the literature","volume":"75","author":"Ambrose","year":"2013","journal-title":"Maturitas"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1136\/ip.2004.005835","article-title":"Gender differences for non-fatal unintentional fall related injuries among older adults","volume":"11","author":"Stevens","year":"2005","journal-title":"INJ Prev"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1093\/gerona\/glz272","article-title":"Does obesity increase the risk and severity of falls in people aged 60 years and older? 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